Form CO-420 Foreign Dividend Factor Increments

(FID #) (FID #) (FID #) Business organizations meeting the payroll and property requirements of an overseas business organization which made deemed dividends to a member of the unitary group Controlled foreign corporations (CFC) that meet the payroll and property requirements of an overseas business organization as defined in Vermont Reg 1 5862(d) 5 Foreign sales corporation (FSC) that meet the payroll and property requirements of an overseas business organization IRC Section 936 Sales Companies that meet the payroll and property requirements of an overseas business organization Vermont overseas business organization as defined in Vermont Reg 1 5862(d) 5 is an entity whose income is included in a consolidated US income tax return but whose activities are primarily outside the US because 80 percent or more of the average of payroll and property is outside the 50 states and the District of Columbia (B C) (D x E) (D x F) (D x K) (FOR UNITARY COMBINED ONLY) (G + H) 2 (I + J) Average Property Beginning Property CO 420 Column A List in Column A the unitary foreign dividend payors whose dividends qualify for factor relief including those from: Column B Enter the amount of the dividend paid or deemed paid Column C Enter the taxable income computed using US tax standards Column D Enter the result of Column B divided by Column C expressed as a decimal to 6 places If this amount is greater than 1 enter 1 000000 If this amount is less than zero enter 0 Column E Enter the Sales and Receipts less returns and allowances Refer to Vermont Reg 1 5833 Column F Enter the total Salaries and Wages Refer to Vermont Reg 1 5833 Column I Enter the results of the sum of Column G and Column H divided by 2 Column J Enter the valuation of rented real and personal property valued at 8 times the gross annual rental rate Column K Enter the total of Columns I and J Columns Enter the beginning and ending property valued at original cost Refer to Vermont Reg 1 5833 Columns Enter the product of Column D multiplied CONTACTING THE DEPARTMENT Dividend Email Address: tax corpincome@state vt us Ending Property Fax: (802) 828 5787 Federal ID # (if assigned) FOR EACH UNITARY DIVIDEND PAYOR LISTED ABOVE PROVIDE THE FOLLOWING INFORMATION IN US DOLLARS: For the taxable period beginning 20 and ending 20 Foreign Dividend Factor Increments FOREIGN DIVIDEND FACTOR INCREMENTS FORM CO 420 Form CO 420 Forms: (802) 828 2515 G & H INSTRUCTIONS Unitary Filing Only (VT Form CO 411U) L M and N by Columns E F and K respectively The total of Columns L M and N will be used on Form CO 419 Lines 2 7 and 11 to modify the apportionment percentage used to determine the amount of foreign dividends from unitary sources subject to Vermont Corporate Income Tax Mailing address: Vermont Department of Taxes 133 State Street Montpelier VT 05633 1401 Modified Property Modified Salaries & Wages Modified Sales Month Name of Entity and Name of Principal Vermont Corporation (PVC) NOTE: A printed copy containing all information required on CO 420 may be substituted Percentage Please print clearly in BLUE or BLACK ink only Prepare a VT Form CO 420 to support each CO 419 that is included with the unitary return PVC s Federal ID Number Rents x 8 Rev 10/11 Salaries & Wages Sales and Receipts Taxable Income Taxpayer Services: (802) 828 5723 Total Property Totals (Carry total modified factor amounts to Form CO 419 Lines 2 7 and 11) USE ADDITIONAL SHEETS IF NECESSARY VERMONT Vermont Department of Taxes Vermont provides factor relief for the dividends received from overseas business organizations as defined in 1 5862(d) In order to obtain factor relief a separate apportionment percentage for foreign dividends must be calculated VT DEPARTMENT OF TAXES 133 State Street Montpelier VT 05633 1401 / (802) 828 5723 Web site Address: http://tax vermont gov